Job Application - Browns Shoe Fit Co

2510 Vine St – Hays, KS

Full Name *

Street Address *

City *

State *

Zipcode *

Phone Number *

Email Address *

Are you 18 years of age or older? *

Do you have a valid driver's license? *

Would you be willing to relocate? *

If yes, any geographical preferences?

Are you available for work: *

Date available

Have you been convicted of a felony within the last 7 year? *

If yes, please explain

Describe any background experience, education, or training which you consider applicable to the position for which you are applying. *

Please indicate the highest level of education you have achieved. *

Current/Last Employer *

Address *

Phone Number *

Supervisor *

Dates of Employment *

Wages *

Reason for leaving *

Prior Employer

Address

Phone Number

Supervisor

Dates of Employment

Wages

Reason for leaving

Name

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